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JESSICA GAINES
NPI 1194536995
Counselor - Mental Health in Palatine, IL

Active since January 20, 2025PECOS Enrolled
110 N BROCKWAY ST STE 300, PALATINE, IL 60067(847) 485-1640 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Gaines NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA GAINES (NPI 1194536995) is an individual mental health provider in Palatine, Illinois, licensed in Illinois (178.021057) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194536995
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA GAINES
Location Address110 N BROCKWAY ST STE 300Palatine, IL 60067-5063
Mailing Address2550 Waterview Dr Unit 436Northbrook, IL 60062-6368
Phone(847) 485-1640
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
✔ NPI 1194536995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178.021057
110 N BROCKWAY ST STE 300, Palatine, IL 60067
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Gaines is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931683554
PECOS Enrollment IDI20260323000457
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Gaines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mindful Support PLLC
Same address
Mental Health
110 N BROCKWAY ST STE 300
Palatine, IL 60067
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group
NPI 1003689217 (630) 640-3539

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MINDFUL SUPPORT PLLC
Counselor (Mental Health)
110 N BROCKWAY ST STE 300
PALATINE, IL 60067
Cook County (630) 640-3539
VEESSER AMINPOUR POHN
Counselor (Professional)
110 N BROCKWAY ST STE 300
PALATINE, IL 60067
Cook County (847) 485-1640
SILVIA ASTUDILLO
Counselor (Mental Health)
110 N BROCKWAY ST STE 300
PALATINE, IL 60067
Cook County (847) 485-1640
MRS. ROBIN LEE CZAJKA RN
Registered Nurse (Psychiatric/Mental Health)
110 N BROCKWAY ST STE 300
PALATINE, IL 60067
Cook County (630) 302-8793
EVELYN MANDUJANO LSW
Social Worker (School)
110 N BROCKWAY ST STE 300
PALATINE, IL 60067
Cook County (847) 485-1640
MS. TRACY ANN LANIER MSW, LCSW
Social Worker (Clinical)
110 N BROCKWAY ST STE 300
PALATINE, IL 60067
Cook County (847) 485-1640
MS. MARIA ARCADIA ROCHA MSW, LCSW
Social Worker (Clinical)
110 N BROCKWAY ST STE 300
PALATINE, IL 60067
Cook County (847) 485-1640
KRISTIN PAGE LCSW
Social Worker (Clinical)
110 N BROCKWAY ST STE 300
PALATINE, IL 60067
Cook County (312) 725-2596

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Gaines's NPI number?

The NPI number for Jessica Gaines is 1194536995. It was assigned to this individual provider in the NPPES registry on January 20, 2025.

Where is Jessica Gaines located?

Jessica Gaines practices at 110 N Brockway St Ste 300, Palatine, IL 60067. The listed phone number is (847) 485-1640.

What is Jessica Gaines's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jessica Gaines enrolled in Medicare?

Yes. Jessica Gaines is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Gaines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Gaines reassigns Medicare benefits to Mindful Support PLLC (Palatine, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Gaines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Gaines was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.